A nurse is providing education to a patient newly diagnosed with Ankylosing Spondylitis.
Which of the following statements is appropriate for the nurse to include in the teaching plan?
"You should avoid exercise to prevent further joint stiffness.”
"Heat therapy is not recommended for pain relief.”
"Proper body mechanics and posture are not essential.”
"Using assistive devices can improve your mobility and reduce fall risk.”
The Correct Answer is D
Choice A rationale:
"You should avoid exercise to prevent further joint stiffness." This statement is not appropriate for the nurse to include in the teaching plan.
Exercise is actually important for individuals with Ankylosing Spondylitis (AS) to maintain joint flexibility and mobility.
Encouraging exercise is a key aspect of managing AS.
Avoiding exercise can lead to increased joint stiffness and decreased mobility, which is contrary to the goals of treatment.
Choice B rationale:
"Heat therapy is not recommended for pain relief." This statement is not accurate.
Heat therapy, such as warm baths or heating pads, can be recommended for pain relief in individuals with AS.
Heat helps to relax muscles, reduce pain, and improve mobility in AS patients.
Therefore, the nurse should not provide this incorrect information to the patient.
Choice C rationale:
"Proper body mechanics and posture are not essential." This statement is incorrect.
Proper body mechanics and posture are essential for individuals with Ankylosing Spondylitis.
Maintaining good posture and using proper body mechanics can help prevent further spinal deformities and reduce pain.
The nurse should emphasize the importance of these practices in the teaching plan.
Choice D rationale:
"Using assistive devices can improve your mobility and reduce fall risk." This is the correct answer.
Using assistive devices, such as canes or walkers, can indeed improve mobility and reduce the risk of falls for individuals with AS.
These devices provide stability and support when walking, which is especially important for those with spinal involvement in AS.
Therefore, this statement should be included in the teaching plan to provide helpful advice to the patient.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
"The inflammation in Ankylosing Spondylitis primarily occurs in the peripheral joints." Rationale: This statement is incorrect.
Ankylosing Spondylitis primarily affects the axial skeleton, including the spine and sacroiliac joints.
Peripheral joint involvement is less common and usually occurs in the later stages of the disease.
Choice B rationale:
"Immune cells infiltrate muscles, leading to muscle wasting in Ankylosing Spondylitis." Rationale: This statement is not accurate.
Ankylosing Spondylitis primarily involves inflammation of the spine and sacroiliac joints, rather than muscle tissue.
Muscle wasting is not a characteristic feature of AS.
Choice C rationale:
"Pro-inflammatory cytokines like TNF-α and IL-17 contribute to inflammation in Ankylosing Spondylitis." Rationale: This statement is correct.
Ankylosing Spondylitis is associated with increased levels of pro-inflammatory cytokines, including tumor necrosis factor-alpha (TNF-α) and interleukin-17 (IL-17).
These cytokines play a key role in the inflammation and tissue damage seen in AS.
Choice D rationale:
"The chronic inflammation in Ankylosing Spondylitis causes cartilage regeneration." Rationale: This statement is not accurate.
Chronic inflammation in AS can lead to structural damage and fusion of the spinal vertebrae (ankylosis), but it does not promote cartilage regeneration.
Correct Answer is C
Explanation
Choice A rationale:
Encouraging the client to avoid physical activity is not an appropriate intervention.
Physical activity and exercise, including range of motion exercises, are essential in managing Ankylosing Spondylitis.
Inactivity can worsen symptoms and lead to further stiffness.
Choice B rationale:
Recommending surgery to correct the spine's limited range of motion is not typically the first step in managing Ankylosing Spondylitis.
Surgery may be considered in severe cases with spinal deformities, but it is not the initial intervention.
Choice C rationale:
Assisting the client in performing range of motion exercises and physical therapy is an appropriate nursing intervention.
These exercises help maintain and improve flexibility, reduce pain, and slow the progression of the disease.
Physical therapy is a key component of Ankylosing Spondylitis management.
Choice D rationale:
Administering nonsteroidal anti-inflammatory drugs (NSAIDs) as prescribed can help manage pain and inflammation in Ankylosing Spondylitis, but it is not a nursing intervention related to improving range of motion.
It is essential to combine NSAID therapy with exercise and physical therapy for optimal management of the condition.
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